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ANJULI DOMINIQUE HOLMES
NPI 1609648641
Counselor - Professional in Kenosha, WI

Active since October 24, 2023PECOS EnrolledAccepts Medicare Assignment
2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anjuli Dominique Holmes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANJULI DOMINIQUE HOLMES (NPI 1609648641) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (11710-125) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609648641
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANJULI DOMINIQUE HOLMES
Location Address2108 63RD STKenosha, WI 53143-4454
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 652-1004
Phone(262) 652-2406
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 24, 2023
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1609648641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 11710-125
Also ListedCounselorTaxonomy 101Y00000X · License 7641-226 (WI)
2108 63RD ST, Kenosha, WI 53143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anjuli Dominique Holmes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163947284
PECOS Enrollment IDI20250421002592
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARTZAHL LPC
Counselor (Professional)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
MACKENZIE DODGE APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
LAUREN WUENSTEL LCSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
COURTNEY JEAN NIELSEN APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
CASEY NICOLE GITTENS
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
DAVID HOUGHTON MSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
ZACHARY ALAN WEIS MS
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
JASON HAJDUK
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anjuli Holmes's NPI number?

The NPI number for Anjuli Holmes is 1609648641. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Anjuli Holmes located?

Anjuli Holmes practices at 2108 63rd St, Kenosha, WI 53143. The listed phone number is (262) 652-2406.

What is Anjuli Holmes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Anjuli Holmes enrolled in Medicare?

Yes. Anjuli Holmes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anjuli Holmes accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and MercyCare Health Plans and 3 other insurers list Anjuli Holmes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anjuli Holmes was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.